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Acquisitions of Businesses, 2023 Acquisitions (Details)
$ in Thousands
12 Months Ended
Nov. 30, 2024
USD ($)
Clinic
Aug. 31, 2024
USD ($)
Clinic
Mar. 29, 2024
USD ($)
Clinic
Oct. 31, 2023
USD ($)
Sep. 29, 2023
USD ($)
Installment
Clinic
Jul. 31, 2023
USD ($)
Clinic
May 31, 2023
USD ($)
Clinic
Feb. 28, 2023
USD ($)
Clinic
Nov. 30, 2022
USD ($)
Clinic
Oct. 31, 2022
USD ($)
Clinic
Sep. 30, 2022
USD ($)
Clinic
Aug. 31, 2022
USD ($)
Clinic
Mar. 31, 2022
USD ($)
Clinic
Dec. 31, 2024
USD ($)
Dec. 31, 2023
USD ($)
Dec. 31, 2022
USD ($)
Business Combination, Description [Abstract]                                
Contingent payments                           $ 17,600 $ 9,800  
Cash paid, net of cash acquired                           133,087 26,582 $ 59,788
IIP Business [Member]                                
Business Combination, Description [Abstract]                                
Percentage of interest acquired       100.00%                        
Deferred payments                             0  
Contingent payments                           2,100 0  
Cash paid, net of cash acquired                           23,106 3,955  
Seller notes                           455 0  
Total consideration                           25,661 3,955  
Estimated fair value of net tangible assets acquired [Abstract]                                
Total current assets                           1,211 392  
Total non-current assets                           218 335  
Total liabilities                           (541) (41)  
Net tangible assets acquired                           888 686  
Customer and referral relationships                           6,708 757  
Non-compete agreements                           261 37  
Tradenames                           1,331 187  
Goodwill                           16,473 2,562  
Fair value of non-controlling interest (classified as redeemable non-controlling interest)                           0 (274)  
Total consideration                           25,661 3,955  
Ergonomics Software Business [Member]                                
Business Combination, Description [Abstract]                                
Percentage of interest acquired       55.00%                        
Percentage of interest retained by practice founder       45.00%                        
IIP and Ergonomics Software Business [Member]                                
Business Combination, Description [Abstract]                                
Aggregate purchase price for acquisition       $ 4,000                        
Acquisitions [Member]                                
Business Combination, Description [Abstract]                                
Deferred payments                             830  
Contingent payments                           17,671 200 10,000
Cash paid, net of cash acquired                           133,087 26,582  
Seller notes                           1,675 985 1,574
Total consideration                           153,933 28,597 71,362
Estimated fair value of net tangible assets acquired [Abstract]                                
Total current assets                           10,902 1,533 1,329
Total non-current assets                           31,327 3,484 7,798
Total liabilities                           (29,043) (3,204) (10,930)
Net tangible assets acquired                           13,186 1,813 (1,803)
Customer and referral relationships                           60,726 7,576 18,062
Non-compete agreements                           3,554 366 934
Tradenames                           13,641 1,867 5,445
Goodwill                           164,529 28,083 75,525
Fair value of non-controlling interest (classified as redeemable non-controlling interest)                           (101,703) (11,108) (26,801)
Total consideration                           153,933 28,597 $ 71,362
Acquisitions [Member] | Physical Therapy Operations [Member]                                
Business Combination, Description [Abstract]                                
Deferred payments                             830  
Contingent payments                           15,571 200  
Cash paid, net of cash acquired                           109,981 22,627  
Seller notes                           1,220 985  
Total consideration                           128,272 24,642  
Estimated fair value of net tangible assets acquired [Abstract]                                
Total current assets                           9,691 1,141  
Total non-current assets                           31,109 3,149  
Total liabilities                           (28,502) (3,163)  
Net tangible assets acquired                           12,298 1,127  
Customer and referral relationships                           54,018 6,819  
Non-compete agreements                           3,293 329  
Tradenames                           12,310 1,680  
Goodwill                           148,056 25,521  
Fair value of non-controlling interest (classified as redeemable non-controlling interest)                           (101,703) (10,834)  
Total consideration                           128,272 $ 24,642  
Clinic Practice [Member]                                
Business Combination, Description [Abstract]                                
Percentage of interest acquired 75.00% 70.00% 50.00%     70.00% 75.00% 80.00% 80.00% 60.00% 80.00% 70.00% 70.00%      
Number of clinics | Clinic 8 8 9     5 4 1 13 14 2 6 6      
Deferred payments           $ 300                    
Contingent payments                   $ 9,700       $ 3,200    
Percentage of ownership interest after the acquisition             45.00%                  
Percentage of ownership interest by local partner after the acquisition             30.00%                  
Percentage of interest retained by practice founder 25.00% 30.00% 50.00%     30.00%   20.00% 20.00% 40.00% 20.00% 30.00% 30.00%      
Percentage of pre-acquisition interest retained by practice founder             25.00%                  
Aggregate purchase price for acquisition $ 15,900 $ 2,000 $ 16,400     $ 2,100 $ 3,100 $ 6,200 $ 25,000 $ 19,500 $ 4,200 $ 3,500 $ 11,500      
Cash paid by local partner             1,100                  
Seller note to be paid by entity             200                  
Seller note to be paid by local partner             100                  
Cash paid, net of cash acquired           $ 1,800 1,700 5,800                
Seller notes $ 200           $ 300 $ 400 $ 800   $ 300 $ 200 $ 300      
Percentage of interest accrued 5.00%   4.50%         4.50% 7.00%   5.50% 5.50% 3.50%      
September 2023 Multi Clinic Practice Acquisition [Member]                                
Business Combination, Description [Abstract]                                
Percentage of interest acquired         70.00%                      
Number of clinics | Clinic         4                      
Percentage of interest retained by practice founder         30.00%                      
Aggregate purchase price for acquisition         $ 6,000                      
Cash paid, net of cash acquired         5,400                      
Seller notes         $ 600                      
Percentage of interest accrued         5.00%                      
Number of installments of payment of consideration due | Installment         2                      
September 2023 Multi Clinic Practice Acquisition [Member] | First Installment Due on January 31, 2024 [Member]                                
Business Combination, Description [Abstract]                                
Payment of principal and interest         $ 300                      
September 2023 Multi Clinic Practice Acquisition [Member] | Second Installment Due on September 30, 2025[Member]                                
Business Combination, Description [Abstract]                                
Payment of principal and interest         $ 300                      
September 2023 Single Clinic Practice Acquisition [Member]                                
Business Combination, Description [Abstract]                                
Percentage of interest acquired         70.00%                      
Number of clinics | Clinic         1                      
Deferred payments         $ 400                      
Percentage of interest retained by practice founder         30.00%                      
Aggregate purchase price for acquisition         $ 7,800                      
Cash paid, net of cash acquired         $ 7,400